Healthcare Provider Details

I. General information

NPI: 1538600036
Provider Name (Legal Business Name): PRINCE WILLIAM H&R OPS LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14935 HOLLY KNOLL LANE
GAINESVILLE VA
20155
US

IV. Provider business mailing address

2917 PENN FOREST BLVD
ROANOKE VA
24018-4304
US

V. Phone/Fax

Practice location:
  • Phone: 703-743-3999
  • Fax: 703-743-3980
Mailing address:
  • Phone: 540-989-3618
  • Fax: 540-339-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CLAUDE NOVEL MARTIN III
Title or Position: CFO - MFA, INC.
Credential:
Phone: 540-776-7526